Zygomatic & Pterygoid Implants - Noris Medical 2020-05-27¢  / 8 / / 9 / Pterygoid...

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Transcript of Zygomatic & Pterygoid Implants - Noris Medical 2020-05-27¢  / 8 / / 9 / Pterygoid...

  • Zygomatic & Pterygoid Implants

    Rehabilitation of Atrophic Jaws

  • About Noris Medical

    ENGINEERED FOR HEALTH The collaboration between leading experts and our team of experienced physicians and professional engineers to design, develop and manufacture innovative products and systems results in a creative synergy that benefits both the dental industry and the patients it serves.

    Improving the lives of dentists and patients around the world with the leading technology in dental implant systems

    GROUNDBREAKING RESEARCH & DEVELOPMENT Results in innovative solutions backed by clinical evidence. Each new product and system developed is supplied with comprehensive peripheral tooling needed for its successful implementation.

    PROFESSIONAL TRAINING Familiarizes dental surgeons and technicians with expert techniques and tools.

    PROVEN PRODUCTS & WIDE RANGE OF SOLUTIONS Enables all procedures, from simple to complex, to be tackled with ease.

    PERIPHERAL TOOLKITS Enable easy implementation, providing a total solution which covers every step of the process.

    ONGOING SUPPORT Ensures dental professionals benefit from knowledge sharing and backup every step of the way.

    Table of Contents

    Restoration of Atrophic Jaws 2-3

    Zygomatic Implants 4-5

    Zygomatic Surgical Kit 6-7

    PteryFit Implants 8

    Pterygoid Implant Tools 9

    Multi-Unit | Straight & Angulated 10-11

    Multi-Unit Components 12

    Multi-Unit Drivers 13

    Multi Unit Protocol 14-15

    Clinical Cases

    1- Zygomatic Implants for the Extra Maxillary Approach 16-22

    2- Pterygoid Implants for Posterior Maxilla Rehabilitation 23-24

    3- EZgoma - Zygomatic Guided Surgery: “Inverted Supports” Zygomatic Guided System 25-29

    Pages

  • / 2 / / 3 /

    Z

    Z

    P

    P

    Restoration of Atrophic Jaws

    Implant prosthetic platform is shifted buccally to a more appropriate position of the restoration.

    Angulated Multi-Unit abutment will provides the angle correction needed.

    Multi-Unit SystemM

    The pterygoid implant procedure provides posterior bone support without sinus augmentation or supplemental bone grafts, while eliminating the need for prosthetic cantilevering.

    PteryFit ImplantsP

    Pterygoid Implant Tools

    Specially designed osteotomes for Pterygoid implants.

    EZplan Pre-Op Preparation & Planning Assessment using specialized software

    The Zygomatic implant placement is a highly predictable procedure with a high success rate in restoration of atrophic jaws, without the need for complex bone augmentation procedures.

    Zygomatic ImplantsZ

    Zygomatic Surgical Kit

    Zygomatic surgical kit, designed for placement of zygomatic implants according to the Extra Maxillary approach.

    M

    M M

    M

    M

    EZgoma Guided Surgery 3D printed guide enables safe and accurate placement

  • / 4 / / 5 /

    Zygomatic Implant

    The Zygomatic implant is placed following the extramaxillary protocol. The implant is anchored in the zygomatic bone; the resulting torque is very high. A bypass of the maxillary sinus prevents damage to the sinus membrane.

    The Zygomatic Implant is designed to provide a solution for cases of atrophic maxilla. The shape of the Zygomatic Implant consists of sharp threads at the apical part for maximum retention to the Zygomatic bone. The implant has a 2.42mm internal hex. connection, which enables simple and easy restoration. The Zygomatic Implant is available in a variety of lengths, from 30mm to 60mm.

    Material: Titanium (Ti6Al4V ELI) Treatment: RBM

    12 .5

    m m

    Le n g th

    3.75mm

    3.5mm

    4.2mm2.42mm 0Diameter Length Item

    4.2 mm

    30.0 mm NM-F4430

    32.5 mm NM-F4432

    35.0 mm NM-F4435

    37.5 mm NM-F4437

    40.0 mm NM-F4440

    42.5 mm NM-F4442

    45.0 mm NM-F4445

    47.5 mm NM-F4447

    50.0 mm NM-F4450

    52.5 mm NM-F4452

    55.0 mm NM-F4455

    57.5 mm NM-F4457

    60.0 mm NM-F4460

    Cover screw included with all implants Item NM-S5023

    Especially designed for the extramaxillary approach

    RBM treated surface at the threaded part increases the BIC

    2.42mm internal hex. connection

    Available in lengths from 30mm to 60mm with 2.5mm increments

    Smooth body to reduce periopathogens adherence

    Deep threads for excellent stability in the zygomatic bone

  • / 6 / / 7 /

    Drilling Depth (mm)

    605550454035

    Depth Probe NM-X1028

    0 Diameter Length Item

    4.2 mm 30 mm Fine Grit NM-D7201

    Medium Grit NM-D7202

    Coarse Grit NM-D7203

    Zygomatic Burs for Groove Preparation

    Zygomatic Step Drills 0 Diameter Length Drill No. Item

    2.0 mm 40 mm

    1 NM-D7520

    60 mm NM-D7020

    80 mm NM-D7120

    2.8 mm 40 mm

    2 NM-D7528

    60 mm NM-D7028

    80 mm NM-D7128

    3.2 mm 40 mm

    3 NM-D7532

    60 mm NM-D7032

    80 mm NM-D7132

    L

    Zygomatic Surgical Kit NM-X2118

    60

    55

    50

    45

    40

    35

    30

    60

    55

    50

    45

    40

    35

    1

    60

    55

    50

    45

    40

    35

    2

    60

    55

    50

    45

    40

    35

    3

    16

    ø2.8ø2.8ø2.8ø2

    ø3.2ø3.2ø3ø3

    ø2.5

    ø4.2ø4.2ø4.2ø4.2

    D4 D3 D2 D1 Bone Type

    8

    4

    0

    60

    55

    50

    45

    40

    35

    3

    1 2 33

    Drill Sequence

    Zygomatic surgical kit designed for placement of zygomatic implants according to the Extra Maxillary approach.

  • / 8 / / 9 /

    Pterygoid Implant Tools Osteotomes 0 Diameter Item

    2.0 mm NM-X3001

    3.0 mm NM-X3002

    Long Drills 0 Diameter Item Length

    2.3 mm NM-D7423 43 mm

    2.8 mm NM-D7428 43 mm

    3.2 mm NM-D7432 43 mm

    3.65 mm NM-D7436 43 mm

    2522201816

    Depth Groove (mm)

    16 18 20 22 2516 18 20 22 25

    5 m

    m

    Le n g th

    3.75mm

    2.5mm

    4.2mm2.42mm

    0 Diameter Length Item

    4.2 mm

    18 mm NMAF4218

    20 mm NMAF4220

    22 mm NMAF4222

    25 mm NMAF4225

    Cover screw included with all implants Item NM-S5023

    PteryFit Implant

    PteryFit implants are installed in the posterior region of the atrophic Maxilla and are located in the Pterygomaxillary region.

    PteryFit implants have been uniquely designed to match the anatomy of the bone structure. The lower V-shaped thread zone enables self-tapping. The middle zone square type thread is used for compressing cancellous bone and help achieving maximum BIC.

    The smooth “Neck” surface at the top helps in eliminating the adherence of Perio-Pathogens, thus reducing the chances of an inflammatory process to develop around the neck area. The RBM treated surface increases the BIC.

    Material: Titanium (Ti6Al4V ELI) Treatment: RBM

    La se

    r M ar

    k

    C ol

    or C

    od e

    25222018151311 .5

    Depth Groove (mm)

    3.2

    Length

  • / 10 / / 11 /

    Multi Unit Abutment

    A710X

    3.75

    4.9

    L 1

    2.0

    Straight L (mm)

    1

    NM-A7101

    2

    NM-A7102

    3

    NM-A7103

    4

    NM-A7104

    5

    NM-A7105

    NM-X7100 Included with all multi-unit bases

    Angulated 17 °

    Angulated 30°

    Angulated 45°

    Angulated 52°

    Angulated 60° L (mm)

    2

    NM-A7112

    3

    NM-A7113 NM-A7133

    4

    NM-A7134 NM-A7144

    5

    NM-A7152 NM-A7160

    Included with all multi-unit bases

    NM-S7101 NM-X7101 Recommendation: Tighten the screw at a torque of 20 Ncm.Recommendation: Tighten the

    base at a torque of 25 Ncm.

    3.75

    a

    Multi Unit Base A711X

    L 1

    2.42

    60° 45°

    30° 0°52°

    17°

    Entire Product Line for Immediate Loading

    Multi-Unit | Straight & Angulated

    The Multi-Unit system provides a solution for screw-retained prostheses even with complicated-to-restore implants (for example, multiple tilted implants).

    The Multi-Unit system comprises a full range of sizes for both the upper and lower jaws. Straight, 17°, 30°, 45°, 52° and 60° adaptors, in a variety of heights, connects to a wide range of complementary products.

    Material: Titanium (Ti6Al4V ELI)

  • / 12 / / 13 /

    Passive Fit Castable Abutment Kit

    Universal Abutment Ø 4.9mm H 12mm

    NM-T7121

    Castable Sleeve Ø 4.9mm H 10.5mm

    NM-C7120

    Castable Sleeve Positioner Ø 4.9mm H 10mm

    NM-T7122

    Screw*

    NM-S7102

    The Passive Fit Castable Abutment Kit consists of three parts aimed for the fabrication of accurate metal reinforced prostheses.

    The Castable Sleeve Positioner is used for locating the Castable Sleeve on the plaster model, ensuring passive fit of the fabricated metal cast when cemented to the Titanium Abutments.

    * Recommendation: Tighten the screw at a torque of 15 Ncm.

    Healing Cap

    H